Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $489.78 / $575.44	Facility		$281.84	$489.78	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $489.78	Professional		$194.98	$257.04	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $1,023.29	Facility		$295.12	$295.12	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $177.83 / $524.81	Professional		$51.29	$177.83	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $575.44 / $1,047.13	Facility		$562.34	$575.44	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $676.08	Professional		$204.17	$295.12	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $562.34 / $1,659.59	Facility		$281.84	$562.34	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $281.84 / $549.54	Professional		$141.25	$281.84	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $371.54 / $1,412.54	Facility		$251.19	$371.54	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $239.88 / $1,479.11	Professional		$123.03	$239.88	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $295.12 / $363.08	Facility		$169.82	$295.12	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $354.81	Professional		$123.03	$177.83	$354.81